北京地区10种常见疾病的发病节气规律分析

Analysis of solar terms characteristics of 10 common diseases occurrence in Beijing area

目的:分析临床常见10种疾病发病节气规律,为疾病预防提供参考依据。方法:疾病数据来源为北京中医药大学东直门医院提供的1999年2月4日至2011年2月4日12年记录存档的全部住院资料,从中选取肺部感染、支气管炎、支气管哮喘、高血压病、冠心病、脑梗死、脑出血、胃炎、消化道溃疡、肾炎10种临床常见疾病,将病例入院时间按二十四节气的各段起止时间归类,计算不同节气不同疾病住院人数占所在时段住院总人数的比值,分析其比值差异。结果:10种疾病的住院人数构成比,支气管炎在冬至达到峰值(P<0.05),消化道溃疡在芒种出现峰值(P<0.05),其他疾病住院人数比值在节气时段的差异不具有统计学意义;肺部感染、支气管炎、支气管哮喘、冠心病、脑出血、脑梗死、消化道溃疡7种疾病排在前3位的高发节气包括"二分二至"中某一节气。结论:北京地区常见疾病在不同节气的发病规律具有一定差异,"二分二至"等节气的重要节点是疾病高发时段。

Objective: To analyze the solar terms characteristics of the occurrence of 10 common diseases, and in order to provide a reference for prevention of these diseases. Methods: The hospitalization data of Dongzhimen Hospital of Beijing University of Chinese Medicine from February 4, 1999 to February 4, 2011 were all collected, and the hospitalization data of patients with 10 common diseases as pulmonary infection, bronchitis, bronchial asthma, hypertension, coronary heart disease, cerebral infarction, cerebral hemorrhage, gastritis, peptic ulcer, nephritis were selected. The solar terms of patients' hospitalized time were classified, the ratio of patients with different diseases in the hospital during different solar terms was calculated, and then the difference among the ratios was analyzed. Results: Among the patients with the 10 common diseases, the proportion of hospitalized patients with bronchopneumonia reaching the peak in the winter solstice(P<0.05), the proportion of hospitalized patients with peptic ulcer reaching the peak in the grain in ear(P<0.05), and difference in proportion of hospitalized patients with the other diseases in solar terms was not statistically significant. The top three solar terms with high-occurrence of pulmonary infection, bronchitis, bronchial asthma, coronary heart disease, cerebral infarction, and peptic ulcer contains the spring equinox, the autumn equinox, the summer solstice, and the winter solstice. Conclusion: The occurrence of common diseases in Beijing area is different in solar terms, and the solar terms as the spring equinox, the autumn equinox, the summer solstice, and the winter solstice were the peak time of disease occurrence.